Organization
SSA SALINA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN HENSON (MEDICAL DOCTOR)
(785) 452-7000
Entity
Organization
Contact information
Practice address
400 S SANTA FE AVE, SALINA, KS 67401-4144
(785) 452-7000
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110665
BLUE CROSS BLUE SHIELD
KS
01
—
CJ4801
RAILROAD MEDICARE
KS
Enumeration date
04/24/2006
Last updated
10/17/2007
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